| Compassionate Therapy For Autism, Llc | |
|
6124 Se Milwaukie Ave Ste 205203 Portland OR 97202-5347 | |
| (347) 707-6610 | |
| Not Available |
| Full Name | Compassionate Therapy For Autism, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6124 Se Milwaukie Ave Ste 205203, Portland, Oregon |
| Authorized Official Name and Position | Roxana I Nedelcu (OWNER, LBA) |
| Authorized Official Contact | 3477076610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Therapy For Autism, Llc 1315 Se Umatilla St Apt 203 Portland OR 97202-7175 Ph: (347) 707-6610 | Compassionate Therapy For Autism, Llc 6124 Se Milwaukie Ave Ste 205203 Portland OR 97202-5347 Ph: (347) 707-6610 |
| NPI Number | 1376158055 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 09/10/2020 |
| Certification Date | 09/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376158055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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